Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Birch Bungalow, LLC

Organization Clinic/Center · NPI 1932631405

Birch Bungalow, LLC is a Clinic/Center in Fergus Falls, Minnesota. Licensed in Minnesota. Registered with an NPI since 2017.

Licensed in
MN
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

25212 County Highway 124
Fergus Falls, MN 56537-8266
Phone: (218) 770-9788
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 2913 (MN)

Record details

NPI number1932631405
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBirch Bungalow, LLC
Authorized official Katrina Mouser — Owner · (218) 770-9788
Other names Real Nutrition
NPI enumeratedApril 3, 2017
Last updated in NPPESApril 3, 2017
Mailing address25212 County Highway 124, Fergus Falls, MN 56537-8266

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